Grossman, Neil

Grossman, Neil is an individual health care provider with primary practice located at 366 Washington St , Wellesley MA 02481-6206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Grossman, Neil can be contacted via phone (781) 239-0033.

Contact Information

Primary practice address
366 Washington St Wellesley MA 02481-6206
Fax: (781) 237-8938
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44509 Massachusetts

Profile Details

NPI number 1568414977
LBN Legal business name Grossman, Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jan 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568414977 NPPES
Massachusetts MEDICAID 6164099

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